<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">申请管家:</label>
        <div class="col-xs-12 col-sm-8">
            <label class="control-label">{$row.steward.realname|htmlentities}</label>
            <input id="c-steward_id" data-rule="required" class="form-control hide" name="row[steward_id]" type="text"
                   value="{$row.steward_id|htmlentities}">
        </div>
    </div>
    <div class="form-group hide">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bank_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bank_id" data-rule="required" class="form-control" name="row[bank_id]" type="text" value="{$row.bank_id|htmlentities}">
        </div>
    </div>
    <div class="form-group hide">
        <label class="control-label col-xs-12 col-sm-2">{:__('金额')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-money" data-rule="required" class="form-control hide" name="row[money]" type="text"
                   value="{$row.money|htmlentities}">
            <label class="control-label">{$row.money|htmlentities}</label>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cardholder')}:</label>
        <div class="col-xs-12 col-sm-8">
            <label class="control-label">{$row.cardholder|htmlentities}</label>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bank')}:</label>
        <div class="col-xs-12 col-sm-8">
            <label class="control-label">{$row.bank|htmlentities}</label>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Branch')}:</label>
        <div class="col-xs-12 col-sm-8">
            <label class="control-label">{$row.branch|htmlentities}</label>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cardnumber')}:</label>
        <div class="col-xs-12 col-sm-8">
            <label class="control-label">{$row.cardnumber|htmlentities}</label>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('拒绝理由')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-replay" class="form-control " rows="5" name="row[replay]">{$row.replay|htmlentities}</textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            {:Form::radios('row[status]', ['1'=>'待审核', '2'=>'已通过', '3'=>'已拒绝'], '2', ['data-rule'=>'required'])}
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
